Korinna Lakes

NPI #1831961390 in Lima, Ohio

Provider Information

NPI Number: 1831961390
Entity Type: Individual
Name: Korinna Lakes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Oct 26, 2023
Last Updated: Jun 25, 2024

Practice Location

Address: 830 W HIGH ST STE 390
City: Lima
State: Ohio
ZIP Code: 45801-3988
Phone: (419) 227-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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